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YES. Under special conditions or circumstances a heart attack, usually considered a natural death, resulting from coronary artery disease (CAD), might be considered an accidental death. This is a legal and medical question, but there are numerous USA coroner cases where the courts found some heart attacks to be accidental deaths.

The conditions and circumstances to support a determination of accidental death include (a) Taking certain drugs, such as cocaine; (b) smoking cigarettes; (c) suffering emotional stress or pain; and (d) being exposed to extreme cold.

One example would be an elderly woman who has been in a rear end collision. She is already in shock from the trauma of the crash and sees her husband bleeding from the head, un-moving and leaning against the steering wheel. Thinking he is dead, she panics, becomes hysterical and causes excessive adrenalin to enter her system which causes the accumulated plaque in her coronary artery to rip off as a clot. That is turn blocks the artery, cutting off the heart's own blood flow which begins to kill the heart muscle. She may die in minutes or hours later in a hospital if her heart condition is not detected soon enough. The accident exacerbated her condition; her's was not a natural death.

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